Prior Authorization Form

Standard Prior Authorization Form Medicare Prior Authorization Form
Prior Authorization Forms by Customer

For faster service, please make sure the form is complete and legible. Please include both phone and fax numbers, including area code. Incomplete and illegible forms will not be processed and will be returned. If you have questions, please call CVS Caremark Customer Care toll-free at 1-800-770-8014.

Related Links


Contact Us • Site Map • Careers • Privacy Policy